Provider Demographics
NPI:1588070098
Name:WINTER, FRITZI (LCSW)
Entity type:Individual
Prefix:MS
First Name:FRITZI
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 FOREST RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1754
Mailing Address - Country:US
Mailing Address - Phone:845-642-3342
Mailing Address - Fax:845-353-9027
Practice Address - Street 1:1225 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1758
Practice Address - Country:US
Practice Address - Phone:845-642-3342
Practice Address - Fax:845-353-9027
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21124101YA0400X
NY0785891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)